NAME OF THE AREA/SITE: ______________________ DATE: ___________
SL NO CHECKING POINTS YES NO REMARKS
1 Are the offices and surroundings clean? 2 Are the toilets clean? 3 Are waste bins, spittoons etc placed? 4 Are scraps so stored that they do not present a tripping hazard? 5 Are permanent aisles appropriately marked? 6 Are floors, aisles and passageways kept clean and dry? 7 Are floor openings such as drains etc covered? 8 Are all lofts and balconies, where people and machinery could be exposed to falling object, guarded? 9 Are storage lofts, balconies that are 2 meters above the floor protected with guardrails? 10 Are all openings barricaded? 11 Are all lofts and balconies, where people and machinery could be exposed to falling object, guarded? 12 Are rest-room and wash-rooms kept in clean and sanitary condition? 13 Is water suitable for drinking? 14 Are proper eating-places provided? 15 Are suitable containers for collecting scrap, trash, oily rags and inflammable solvents provided? 16 On completion of a job are tools and left over materials removed to their proper places? 17 Are leaking water taps immediately rectified for keeping surrounding areas clean? 18 Are planks with protruding nails and objects with sharp edges left in position where they can cause injuries? 19 Are approaches roads free for easy movement of vehicles? 20 Are work areas, approach roads, stairways and walkways properly illuminated during the night?
Checked By: ……………………………………………
……………………………………………………………… ……………………………………………………………
Name & Signature of Cont. Safety personal Signature of Client representative